Form cover
Page 1 of 1

Discovery Call Application

Name

Surname

Email address

Cell number

Location

Age

Age
A
B
C
D
E
F
G
H

Choose which best describes

Choose which best describes
A
B
C
D
E
F

If you selected other please specify below. (If this is left blank please add N/A)

Please be specific in your answers. Rather give me to much information than to little.

Why do you feel that you are ready for change now? Maximum 5 sentences

What kind of support from a coach would be the most helpful for you to receive now to take you to a higher level in your life and in your career/ business?

Is this something you want to work on now or later? And please also specify why you would like to work on this now or later?

Which most applies to you?

Which most applies to you?
A
B
C
D

How committed are you to taking small steps and learning new skills where you are manifesting a life that you love?

How committed are you to taking small steps and learning new skills where you are manifesting a life that you love?

Are you currently working with a coach or have you recently done a course or will be participating in a course in the near future? Please provide details if yes

Do you have the resources to make the most of an opportunity to become an Empowered and Unstoppable Master At Manifestation?

Do you have the resources to make the most of an opportunity to become an Empowered and Unstoppable Master At Manifestation?
A
B
C

Please acknowledge that you understand that this is a Discovery call where we will go deeper into where you currently are in your life, where you would like to go and what is standing in your way.

This is not a coaching call. Your participation and vulnerability on this call will be essential for you to receive the most benefit from it☺️
Please acknowledge that you understand that this is a Discovery call where we will go deeper into where you currently are in your life, where you would like to go and what is standing in your way.
A
B

Is there anything you would like to tell me? Please specify it here. Maximum 5 sentences.

Do you give permission for communication to be sent to your WhatsApp number/ e-mail address?

Do you give permission for communication to be sent to your WhatsApp number/ e-mail address?
A
B

* If you answered no we will not be able to send you further correspondence